| Cassandra D Mc Koy, | |
|
9 Jordan Ln, Middletown, NY 10940-1603 | |
| (845) 699-0263 | |
| Not Available |
| Full Name | Cassandra D Mc Koy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 9 Jordan Ln, Middletown, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760672950 | NPI | - | NPPES |
| 02708258 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 273518-1 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | F346767-01 (New York) | Primary |
| Entity Name | Ion Oltean Physician Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912236811 PECOS PAC ID: 6406990860 Enrollment ID: O20100223000519 |
| Mailing Address | Practice Location Address |
|---|---|
| Cassandra D Mc Koy, 9 Jordan Ln, Middletown, NY 10940-1603 Ph: (845) 699-0263 | Cassandra D Mc Koy, 9 Jordan Ln, Middletown, NY 10940-1603 Ph: (845) 699-0263 |
Mrs. Narjeet Kaur, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 707 E Main St, Middletown, NY 10940 Phone: 845-333-4400 | |
Chiquita Houston-armstrong, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 155 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297 | |
Lisa Thayer, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 155 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297 | |
Ms. Meleta Marie Taylor, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 155 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 | |
Katherine Grace Mcdonald, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 155 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297 | |
Mr. Nearco Rodriguez, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 707 E Main St, Middletown, NY 10940 Phone: 845-333-7575 Fax: 845-333-7139 | |
Ms. Heather Elizabeth Guinan-clark, MS, MPH, APRN, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 155 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297 |